Physician

Joseph Prohaska, D.O.

According to 2025 Medicare claims, Joseph Prohaska, D.O. (NPI: 1790158012) practices dermatology in the Morristown, TN market, with the plurality of this provider's patient population coming from Hamblen, TN. This provider's primary affiliated billing organization is HEALTHSTAR PHYSICIANS, P.C. (NPI: 1184610248; TIN: 62-1612894) and primary practice location at 37813-3860. Prohaska is affiliated with the Emergent ACO, LLC (ACO ID: A4556), participating under the MSSP model.

Prohaska's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 434 traditional Medicare patients, billed 2,667 HCPCS/CPT codes, and received $326,141 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 1,398 prescription claims across 608 beneficiaries totaling $284,251 in drug costs, led by Taltz Autoinjector (Ixekizumab). Open Payments data shows 91 records totaling $2,286. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $45,025 to $326,141. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	195	941	$45,025
2020	431	2,929	$153,382
2021	384	2,339	$173,190
2022	459	2,901	$235,690
2023	487	2,608	$277,404
2024	434	2,667	$326,141

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	131	233	$54,372
2020	400	1,043	$354,542
2021	416	1,060	$417,493
2022	485	1,152	$548,655
2023	653	1,532	$463,581
2024	608	1,398	$284,251

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
17311	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	140	173	$433
12032	Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	116	130	$173
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	144	201	$58
11102	Biopsy of related skin growth, first growth	77	84	$52
17000	Destruction of precancer skin growth, 1 growth	95	128	$31

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Taltz Autoinjector	Ixekizumab	13	364	$92,817
Mupirocin	Mupirocin	689	15,157	$6,246
Clobetasol Propionate	Clobetasol Propionate	61	1,746	$3,314
Fluocinolone Acetonide	Fluocinolone Acetonide	37	1,072	$2,156
Ketoconazole	Ketoconazole	104	2,980	$1,772

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	91	$2,286	Lilly USA, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Joseph Prohaska, D.O.?

Tedicare shows public-source Medicare data for Joseph Prohaska, D.O. (NPI 1790158012), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Joseph Prohaska, D.O. have ACO affiliation data?

Joseph Prohaska, D.O. is shown with ACO affiliation data for Emergent ACO, LLC (MSSP, ACO ID A4556).

What billing organization is linked to Joseph Prohaska, D.O.?

Joseph Prohaska, D.O. is linked to HEALTHSTAR PHYSICIANS, P.C. (billing NPI 1184610248) in the available physician profile data.

Does Joseph Prohaska, D.O. have Open Payments data?

Joseph Prohaska, D.O. has 91 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.